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Individual

SEBASTIAN C. WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
931 HIGHLAND BLVD STE 3350, BOZEMAN, MT 59715-6914
(406) 414-5331
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-100620
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000371191
BCBSMT
MT
05
0089080
MT
Enumeration date
11/09/2006
Last updated
04/09/2025
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